Healthcare Provider Details

I. General information

NPI: 1669768966
Provider Name (Legal Business Name): MARIA ALAINA ESPOSITO-PICKERING PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 06/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 HICKSVILLE RD
SEAFORD NY
11783-1328
US

IV. Provider business mailing address

750 HICKSVILLE RD
SEAFORD NY
11783-1328
US

V. Phone/Fax

Practice location:
  • Phone: 516-520-6028
  • Fax: 516-796-6341
Mailing address:
  • Phone: 516-520-6028
  • Fax: 516-796-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number68 019132
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: